Individual provider Active NPI

Richard R Slater, MD

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1407960826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025733 Issued in CT
Practice address
1100 Dixwell Ave
Hamden, CT 06514-4730
Phone
(203) 787-7191
Fax
(203) 777-8919
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025733 CT Primary

Addresses

Primary practice location

1100 Dixwell Ave
Hamden, CT 06514-4730

Mailing address

1100 Dixwell Ave
Hamden, CT 06514-4730
Phone (203) 787-7191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000100 CT Practitioner - Internal Medicine 9335231224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G.P. of Hamden, P.C.Group PAC ID 0143219386, 2 clinicians

Practice addresses (Care Compare)

1684 Dixwell Ave
Hamden, CT 06514-3111
Phone (203) 787-7191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025733CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GP of Hamden, P.C. Current Accepting new patients

Locations

1100 Dixwell Ave
Hamden, CT 06514
Phone (203) 787-7191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407960826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144730",
            "telephone_number": "203-787-7191",
            "fax_number": "203-777-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144730",
            "telephone_number": "203-787-7191",
            "fax_number": "203-777-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.